This book offers a detailed study of clinical work with psychotic children and adolescents and discusses the recent developments in psychoanalytic theory which have enabled this work to take place. It is intended to represent the psychotherapeutic approach to psychotic children and adolescents.

Preface -- Acknowledgements -- Introduction /Margaret Rustin -- Theoretical Overview /Alex Dubinsky -- The Technique of Child Psychotherapy /Susan Reid -- Part I. Psychosis and Sexual Abuse -- 1. Finding a Safe Place: A Four-Year-Old Child's Recovery from Sexual Abuse /Deborah Sussman -- 2. The Difficulty of Establishing a Space for Thinking: The Therapy of a Seven-Year-Old Girl /Lynda Miller -- 3. Survival of the Self: A Sixteen-Year-Old Girl's Search for a Good Object /Chriso Andreou -- Discussion /Alex and Hbl2ne Dubinsky -- Part II. Psychosis and Developmental Delay -- 4. The Beginnings of Mind: Psychotherapy of a Sexually Abused Six-Year-Old Girl /Ann Wells -- 5. Symbolisation and the Sense of Identity /Daphne Briggs -- 6. 'Here 1 am!': Self and Object in a Developmentally Delayed Boy with Autistic Features /Sara Rance -- 7. A Little Boy Who Did Not Want to Learn Anything /Alex Dubinsky -- Discussion /Maria Rhode -- Part 111. The Complexity of Psychotic States -- 8. Psychosis and Autism: Schizophrenic, Perverse and Manic- Depressive States During Psychotherapy /Genevihe Haag -- 9. Jeremy and the Bitten Roof /Hbldne Dubinsky -- 10. 'The Ghost is Coming': The Fear of Annihilation in a Nine-Year-Old Boy /S.M.S henuin-White -- 11. Going to Pieces: Autistic and Schizoid Solutions /Maria Rhode -- 12. Rigidity and Stability in a Psychotic Patient: Some Thoughts about Obstacles to Facing Reality in Psychotherapy /Margaret Rustin -- Discussion /Margaret Rustin -- Postscript /Margaret Rustin -- Glossary /Maria Rhode -- References -- Index.